摘要
目的探究循证护理联合睡眠干预对腹腔镜胆囊切除术后患者睡眠状态与不良情绪的影响。方法随机选取2020年1月—2022年9月福建医科大学附属第一医院收治的80例胆囊疾病患者作为研究对象,将其分为对照组与观察组,每组40例。对照组实施常规护理,观察组实施循证护理联合睡眠干预,对比两组睡眠状态与不良情绪、护理满意度、依从性。结果观察组护理后护理满意度97.50%、依从性100.00%明显高于对照组的72.50%、75.00%,差异有统计学意义(χ^(2)=9.804、11.429,P<0.05)。观察组护理后焦虑评分(40.63±5.66)分、抑郁评分(35.63±10.62)分低于对照组(57.36±5.96)分、(62.55±12.56)分,差异有统计学意义(t=12.873、10.351,P<0.001)。观察组护理后的睡眠质量评分低于对照组,差异有统计学意义(P<0.05)。观察组护理后的生活质量各维度(生理职能、精力、一般健康状况与精神健康)评分均高于对照组,差异有统计学意义(P<0.05)。结论对胆囊疾病患者实施腹腔镜胆囊切除术结合循证护理联合睡眠干预,患者的不良情绪得到有效缓解,且其护理满意度与依从性明显提高,同时可以改善胆囊疾病患者的睡眠质量。
Objective To investigate the effects of evidence-based nursing care combined with sleep intervention on sleep status and adverse emotions of patients after laparoscopic cholecystectomy.Methods 80 patients with gallblad-der diseases admitted to the First Affiliated Hospital of Fujian Medical University from January 2020 to September 2022 were randomly selected as the research subjects,and they were divided into the control group and the observation group,with 40 cases in each group.The control group implemented conventional nursing care,and the observation group implemented evidence-based nursing combined with sleep intervention,comparing the sleep status and bad mood,nursing satisfaction,and adherence between the two groups.Results The nursing satisfaction rate of 97.50%and compliance rate of 100.00%in the observation group after nursing were significantly higher than those of 72.50%and 75.00%in the control group,and the difference was statistically significant(χ^(2)=9.804,11.429,P<0.05).The anxiety score(40.63±5.66)points and depression score(35.63±10.62)points of the observation group after nursing were lower than those of the control group(57.36±5.96)points and(62.55±12.56)points,and the difference was statistically significant(t=12.873,10.351,P<0.001).The sleep quality score of the observation group after nurs-ing was lower than that of the control group,and the difference was statistically significant(P<0.05).The scores of various dimensions of quality of life(physiological function,energy,general health status,and mental health)in the observation group after nursing were higher than those in the control group,and the difference was statistically significant(P<0.05).Conclusion The implementation of laparoscopic cholecystectomy combined with evidence-based nursing combined with sleep intervention for patients with gallbladder disease effectively relieved the patients´bad mood,and their nursing satisfaction and compliance were significantly improved,and at the same time,it could im-prove the sleep qualit
作者
卢芬
曾婷婷
张莺
LU Fen;ZENG Tingting;ZHANG Ying(Surgical Nursing Center,the First Affiliated Hospital of Fujian Medical University,Fuzhou,Fujian Province,350000 China)
出处
《中外医疗》
2023年第22期153-156,166,共5页
China & Foreign Medical Treatment
基金
福建省漳州市自然科学基金(ZZ2018J08)。
关键词
腹腔镜胆囊切除术
循证护理联合睡眠干预
睡眠状态
不良情绪
影响
Laparoscopic cholecystectomy
Evidence-based nursing combined with sleep intervention
Sleep state
Bad mood
Effect
